Evidence map›Paper›PMID 30717679›Full record

ArticleBMC infectious diseases2019

Development of a lateral flow recombinase polymerase amplification assay for rapid and visual detection of Cryptococcus neoformans/C. gattii in cerebral spinal fluid.

Qinglin Ma, Jilong Yao, Shixin Yuan, Houming Liu, Ning Wei, Jianming Zhang, Wanshui Shan

Abstract readEvaluation Study
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Review
  2. Rapid and simultaneous detection ofFrontiers in cellular and infection microbiology · 2026
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  9. What's New inJournal of fungi (Basel, Switzerland) · 2022
    Review
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  11. Review
  12. Rapid Detection ofFrontiers in cellular and infection microbiology · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Rapid Detection ofFrontiers in cellular and infection microbiology · 2021
    Article
  18. Article
  19. Preliminary Evaluation of Rapid Visual Identification ofFrontiers in cellular and infection microbiology · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Qinglin MaInstitute of Maternity and Child Medical Research, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, No.2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Jilong YaoInstitute of Maternity and Child Medical Research, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, No.2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Shixin YuanInstitute of Maternity and Child Medical Research, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, No.2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Houming LiuClinical Laboratory, Shenzhen Third People's Hospital, No.29 Bulan Road, Shenzhen, 518112, Guangdong, China.
Ning WeiPersonnel Section, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, No.2004 Hongli Road, Shenzhen, 518028, Guangdong, China. szmch2004@hotmail.com.
Jianming ZhangInstitute of Maternity and Child Medical Research, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, No.2004 Hongli Road, Shenzhen, 518028, Guangdong, China. szmch_zhang@aliyun.com.
Wanshui ShanClinical Laboratory, Shenzhen Third People's Hospital, No.29 Bulan Road, Shenzhen, 518112, Guangdong, China. wanshui_shan@126.com.

Funding

National Natural Science Foundation of China 81702087Shenzhen Healthcare Research Project 201605010Shenzhen Scientific and Technological Foundation JCYJ20160427152933037
6 · The paper itself

Abstract

backgroundFor definitive diagnosis of cryptococcal meningitis, Cryptococcus neoformans and/or C. gattii must be identified within cerebral spinal fluid from the patients. The traditional methods for detecting Cryptococcus spp. such as India ink staining and culture are not ideal. Although sensitive and specific enough, detection of cryptococcal antigen polysaccharide has a high dose hook effect. Therefore, the aim of this study was to introduce a new rapid and simple detection method of Cryptococcus neoformans and C. gattii in cerebral spinal fluid.

methodsThe lateral flow strips combined with recombinase polymerase amplification (LF-RPA) assay was constructed to detect the specific DNA sequences of C. neoformans and C. gattii. The detection limit was evaluated using serial dilutions of C. neoformans and C. gattii genomic DNA. The specificity was assessed by excessive amount of other pathogens genomic DNA. The optimal detection time and amplification temperature were also analyzed. The diagnostic parameters were first calculated using 114 clinical specimens and then compared with that of other diagnostic method. A brief analysis and comparison of different DNA extraction methods was discussed, too.

resultsThe LF-RPA assay could detect 0.64 pg of genomic DNA of C. neoformans per reaction within 10 min and was highly specific for Cryptococcus spp.. The system could work well at a wide range of temperature from 25 to 45 °C. The overall sensitivity and specificity were 95.2 and 95.8% respectively. As amplification template for LF-RPA assay, both cell lysates and genomic DNA produce similar experimental results.

conclusionsThe LF-RPA system described here is shown to be a sensitive and specific method for the visible, rapid, and accurate detection of Cryptococcus spp. in cerebral spinal fluid and might be useful for clinical preliminary screening of cryptococcal meningitis.

Indexed as

Antigens, FungalCryptococcosisCryptococcus gattiiCryptococcus neoformansDNA PrimersEarly DiagnosisHumansLimit of DetectionMeningitis, CryptococcalMicrofluidic Analytical TechniquesPolymerase Chain ReactionRecombinasesRNA, FungalSensitivity and SpecificityTemperatureAntigens, FungalDNA PrimersRecombinasesRNA, FungalCerebral spinal fluidCryptococcus gattiiCryptococcus neoformansLateral flow stripsRecombinase polymerase amplificationVisual detection

Identifiers

PMID30717679
PMCPMC6360735

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.